Fresh Pediatric Dentistry PC
Fresh Pediatric Dentistry PC is a healthcare organization registered as Pediatric Dentistry in Montclair, NJ, holding Type 2 (organization) NPI 1497488985 since 2022. The authorized official on file is Reesha Shah, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1497488985 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fresh Pediatric Dentistry PC |
| Other name | <Unavail> |
| Practice address | 39 SOUTH FULLERTON AVE, SUITE 10, Montclair, NJ, 07042 |
| Phone | 3479792185 |
| Enumeration date | 2022-07-02 |
| Last updated in NPPES | 2023-06-02 |
Authorized official
| Name | Reesha Shah |
|---|---|
| Title | Owner |
| Phone | 6177085108 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | Secondary | — | — |
| 1223P0221X | Pediatric Dentistry | Primary | — | — |
Copy-ready billing details
Provider: Fresh Pediatric Dentistry PC NPI: 1497488985 Taxonomy: 1223P0221X (Pediatric Dentistry) Address: 39 SOUTH FULLERTON AVE, SUITE 10, Montclair, NJ, 07042
Verify this record
Cross-check NPI 1497488985 against the authoritative CMS record: view Fresh Pediatric Dentistry PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Fresh Pediatric Dentistry PC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-06-02.